Caesarean Section (CS) is one of the commonest of delivery conducted by caesarean section has increased in recent times. According to the review commissioned by the World Health Organization (WHO), there is no additional benefits in terms of mortality amo the CS rate rises above 15% in a country. conducted at the College of Medicine data were reviewed.. The caesarean rate was calculated as deliveries) × 100 The indications for caesarean section included fetal distress, multiple gestation,

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... sentation, previous caesarean section, failed induction, failed progression (including failed forceps or vacuum extraction), cephalopelvic disproportion, maternal indications, and foetal indications. during the study period. Of them, 11921 had u comes to be around 32%. Demographic analysis shows maximum number of pat (71.66%). 6174 patients (51.8%) were primi and 5747 patients (48.2%) were multipa section was foetal distress (33.2%) followed by post caesarean cases (25.3%). is gradually increasing. As primary caesarean section usually determines the future obstetric course reduce it is of prime importance. VBAC should be promoted to keep check on post caesarean rates. Caesarean Section (CS) is one of the commonest surgeries performed all around the world. The proportion of delivery conducted by caesarean section has increased in recent times. According to the review commissioned by the World Health Organization (WHO), there is no additional benefits in terms of mortality amo the CS rate rises above 15% in a country. Materials and Methods: It is a secondary data review of all the CS surgery conducted at the College of Medicine and JNM Hospital, Kalyani. The last 5 years (January 2011 to December 2015) The caesarean rate was calculated as-(Total number of caesarean deliveries/ Total number of The indications for caesarean section included fetal distress, multiple gestation, malpresentation, ion, failed induction, failed progression (including failed forceps or vacuum extraction), cephalopelvic disproportion, maternal indications, and foetal indications. Results: A total of 37642 patients delivered during the study period. Of them, 11921 had undergone caesarean section. The caesarean section rate at the hospital comes to be around 32%. Demographic analysis shows maximum number of patients to be between 21 (71.66%). 6174 patients (51.8%) were primi and 5747 patients (48.2%) were multipara. The commonest indication for C section was foetal distress (33.2%) followed by post caesarean cases (25.3%). Conclusion: The rate of caesarean section is gradually increasing. As primary caesarean section usually determines the future obstetric course reduce it is of prime importance. VBAC should be promoted to keep check on post caesarean rates. Caesarean Section, indications, rate, tertiary care hospital